Vaping-associated lung injury

Case contributed by Dr Michael P Hartung

Presentation

Shortness of breath and cough with recent vaping history.

Patient Data

Age: 20 years
X-ray

Presentation (Day 1)

Subtle patchy reticular thickening in both lungs. 

X-ray

Day 2

New bilateral lower lobe predominant patchy opacities, right greater than left.

CT

Day 3

Extensive symmetric bilateral groundglass and reticular opacities in a brochovascular distribution with subpleural sparing affecting all lobes, worsened since the radiograph 1 day prior. 

Case Discussion

Young patient with vaping history presenting with shortness of breath and progressive acute lung injury. Presentation radiograph (Day 1) has very subtle findings, which progressed to more pronounced diffuse acute lung injury over 3 days.

The supporting history of vaping in a young patient helps to make this diagnosis. On Day 2, the lower lobe predominant process supports vaping-induced lung injury. On Day 3, the Chest CT highlights features described with vaping including groundglass opacities and subpleural sparing. 

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Case information

rID: 71664
Published: 16th Oct 2019
Last edited: 16th Oct 2019
System: Chest
Inclusion in quiz mode: Included

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